United States v. Fieste, No. 23-1739 (7th Cir. 2023)
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Fieste was charged with threatening to assault and murder two federal judges, three former U.S. presidents, and the current President. She is currently incompetent to stand trial. Fieste's mental illness causes her to experience delusions. In custody, Fieste refused the antipsychotic medication that experts believe will restore her competence. The government obtained permission to involuntarily medicate her to render her competent to stand trial. The order was stayed pending appeal.
The Seventh Circuit affirmed but remanded. Fieste’s pretrial detention is insufficient to overcome the government’s interest in prosecution although Fieste’s anticipated Guidelines range is 12-18 months and she will “likely face a sentence of time served” if convicted. The district court properly conducted a holistic assessment to conclude that the proposed treatment plan is substantially likely to render Fieste competent and that the side effects are substantially unlikely to significantly interfere with her ability to participate in the proceedings. The order permitted Fieste to be medicated with “long-acting injectable anti-psychotic medication, along with other medications” suggesting impermissible flexibility to administer unspecified medications. The district court must provide a dosage range based on the expert’s recommendation or some other appropriate evidence, whether directly in its order or by incorporating a sufficiently detailed treatment plan.
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